Uyazazi lezi zinhlayiya ezinamazinyo ezitholakala emathunjini akho? Ake sixoxe ngazo kalula!

Wake wahlolwa `(Colonoscopy)`? Noma, kungenzeka ukuthi uke wezwa othile ethi, `Basuse ukukhula okuncane ku-colon.'' Isikhathi esiningi, lawa yiwo esiwabiza ngokuthi `(Colon Polyps)`` noma ama-polyp akhula ku-colon. Phakathi kwawo, kukhona uhlobo olukhethekile olubizwa ngokuthi `(Serrated Polyps).`` Ingabe igama lizwakala liyesabeka kancane? Ungakhathazeki, sizoxoxa ngakho konke ngendlela elula ongayiqonda.

Ziyini lezi `(Serrated Polyps)`? Ake sikuqonde kalula!

Kalula nje, ama-polyp anezimbotshana yizimbotshana ezakheka odongeni lwangaphakathi lwekholoni lakho futhi zibukeka njengezimbotshana ezinezinyo ezisahwa ngaphansi kwe-microscope. Empeleni ziyizimbotshana, kodwa azinabungozi. Lokhu kusho ukuthi azinawo umdlavuza lapho kwakheka okokuqala. Kodwa-ke, amanye ama-polyp anezimbotshana angaba umdlavuza ngokuhamba kwesikhathi. Yingakho odokotela besusa lezi zimbotshana ngokushesha nje lapho kutholakala ukuthi zivimbela umdlavuza wekholoni.

Ukubonakala okunezimbotshana kwalawa ma-`(Serrated Polyps)` kuhlobene nendlela akhiwa ngayo. Inqubo akhiwa ngayo ihlukile kancane kolunye uhlobo lwama-polyps esivame ukuwabona emathunjini amakhulu, `(Adenomas). Futhi, uma `(Serrated Polyps)` ephenduka umdlavuza, inqubo ihlukile enqubweni `(Adenomas)` ephenduka ngayo umdlavuza. Kuthiwa cishe ama-25% omdlavuza wamathumbu amakhulu avela kulawa ma-`(Serrated Polyps)`. Kodwa-ke, uma ephenduka abe umdlavuza, angakhula ngokushesha kunezinye izinhlobo.

Yiziphi izinhlobo eziyinhloko ze-`(Serrated Polyps)`?

I-World Health Organization (WHO) ihlukanise ama-polyp anezimbotshana abe izinhlobo ezine eziyinhloko. Lawa ahlukaniswa ngokwendlela abukeka ngayo, okungukuthi, izici zawo zomzimba. Lezi zimpawu zibonisa ukuthi izinqubo zamaseli ezithinta ukukhula kwala ma-polyp zihluke kangakanani. Okubalulekile, akuzona zonke lezi zinhlobo ezingaphambi komdlavuza . Odokotela bawahlukanisa uma betholakala ukuze bathole ukuthi kungenzeka kangakanani ukuthi akhule abe umdlavuza.

Nazi lezo zinhlobo ezine:

• `(Ama-polyps e-Hyperplastic)` Ama-polyps e-Hyperplastic
• `(Izilonda Ezihlanganisiwe Ezithambile - Ama-SSL)` Izilonda Ezihlanganisiwe Ezithambile
• Ama-Adenoma Endabuko Anezinsika
• Ama-Adenoma Angahlukaniswanga

`(Ama-polyps e-Hyperplastic)` Ama-polyps e-Hyperplastic

Lezi yizinhlobo ezivame kakhulu zama-polyp anezimbotshana, ezibalelwa cishe ku-75% wamacala. Izindaba ezinhle ukuthi la ma-polyp anezimbotshana azinangozi futhi awabi umdlavuza . Igama elithi "Hyperplastic" lisho ukukhula ngokweqile kwamangqamuzana. Kusho ukuthi kunamangqamuzana amaningi kakhulu akhula ndawonye. Ama-polyp amaningi angaphambi komdlavuza aba "yi-dysplastic," okusho ukuthi anezinguquko ezingavamile emaseli. Lezi zinguquko emaselini zingaholela kumdlavuza.

`(Izilonda Ezihlanganisiwe Ezithambile - Ama-SSL)` Izilonda Ezihlanganisiwe Ezithambile

Cishe ama-20% ama-polyp afakwe i-serrated ayingxenye yezinhlobo ezibizwa ngokuthi ama-Sessile Serrated Lesions (ama-SSL). Lolu uhlobo lwe-polyp efakwe i-serrated enengozi enkulu yokuba nomdlavuza . Igama elithi "Sessile" libhekisela eqinisweni lokuthi ayisicaba, afana ne-disc, noma aphakanyisiwe kancane. Kodwa-ke, lesi simo singabonakala nakuma-polyp angenangozi e-hyperplastic. Ngakho-ke, kunzima kancane ukuhlukanisa lawa amabili ngokubukeka kwawo. Kodwa-ke, ochwepheshe bangabona umehluko othile esakhiweni sawo.

Lezi `(Izilonda Ezinezimbotshana Ezithambile)` zazinamagama amaningana. Manje leli gama elisha lisetshenziselwa ukunciphisa ukudideka okungadingekile. Enye into ukuthi ezinye zalezi `(SSL)` zinezici ze-`(Dysplasia)` (ukukhubazeka kwamaseli) okukhulunywe ngazo ngaphambili, kanti ezinye azinazo. Odokotela baqhubeka bahlukanise lezo ezine-`(Dysplasia)` njenge-"lesles ezinezimbotshana ezithambile ezine-dysplasia". Kodwa-ke, zonke `(SSL)` zibhekwa njengezimo ezingaphambi komdlavuza .

Ama-Adenoma Endabuko Anezinsika

Lezi yizinhlobo ezingavamile kakhulu ze-`(Serrated Polyps)`, ezibonakala ngaphansi kwe-1% yabantu . Lezi futhi yizimo ezingaphambi komdlavuza . Ukubukeka kwazo kufana ne-`(Adenomas)` evamile, okungukuthi, zinesimo esifana nesamakhowe, futhi zinezici ezijwayelekile ze-`(Dysplasia)`. Kodwa-ke, zinezici ze-`(Serrated)` ezifana nemiphetho yesaha. Esikhathini esidlule, lezi zazivame ukuphambaniswa ne-`(Adenomas)` evamile. Muva nje ziqashelwe njengohlobo lwe-`(Serrated Polyp)`.

Ama-Adenoma Angahlukaniswanga

Uhlobo lokugcina ama-polyp angalingani kahle kunoma yiziphi izigaba ezingenhla. Angase abe nokubukeka okuyisicaba, okunezinsika, kodwa angaba nezici ezifana ne-"Dysplasia" noma "ama-Adenoma." Nakuba engavamile, odokotela bakholelwa ukuthi kubalulekile ukuqaphela la ma-polyp angenakuhlukaniswa ngokucacile, ngoba ucwaningo lwesikhathi esizayo lungase lwembule okwengeziwe ngawo. Sisafunda nge-"Serrated Polyps."

Zivame kangakanani i-Serrated Polyps?

Ama-polyp anezimbobo atholakala cishe kuma-30% ama-colonoscopies. Esikhathini esiningi, lawa angama-polyp angenangozi e-hyperplastic. Kodwa-ke, cishe ama-10% angama-polyp angaphambi komdlavuza, njenge-Sessile Serrated Lesions (SSLs). Ngesikhathi se-colonoscopy, udokotela angase angakwazi njalo ukubona umehluko phakathi kwalawa amabili. Yingakho, uma kukhona ukungabaza, izicubu ziyasuswa, zithunyelwe elabhorethri, bese zihlolwa ngaphansi kwe-microscope ngudokotela wezifo.

Kuyini `(i-Serrated Polyposis Syndrome - SPS)`?

I-Serrated Polyposis Syndrome (SPS) iyisimo esingavamile. Yilokhu okwenzekayo uma ingane yakho inesifo sikashukela.Ama-polyp aqunyiwe akheka ngobuningi kuwo wonke umathumbu amakhulu. Lokhu ngaphambilini kwakubizwa ngokuthi i-Hyperplastic Polyposis Syndrome. Ungase ube nama-polyp angaphezu kuka-20, noma angaba makhulu kunokuvamile. Anamathuba amaningi okuba nomdlavuza ongaphambi komdlavuza. Abantu abanalesi simo banethuba elingu-25% lokuthola umdlavuza. Lesi simo sithinta cishe u-0.4% wabantu.

Ingabe ama-polyp anezimbotshana abangela izimpawu?

Esikhathini esiningi, ama-polyp kumathumbu amakhulu, okuhlanganisa nama-polyp aqunyiwe, awabangeli zimpawu . Akuvamile kakhulu, ama-polyp amakhulu angabangela ukuphuma kwegazi noma ushintsho emikhubeni yakho yamathumbu. Abanye abantu bangase babone igazi endle yabo, noma babe nesifo sohudo noma ukuqunjelwa okungachazeki. Kodwa lezi zimpawu zingabangelwa nezinye izinto. Abantu abaningi abanama-polyp abazi nokuthi banawo . Yingakho odokotela bencoma ukuhlolwa njalo kwe-colonoscopy.

Yini ebangela ukuthi la ma-`(Serrated Polyps)` akheke?

Ama-polyp aqunyiwe ayisimo esivamile esivame ukwenzeka njengoba sikhula. Asazi kahle ukuthi kungani akheka. Kodwa siyazi ukuthi kuhileleke izinguquko zofuzo . Ukuguqulwa kwezakhi zofuzo amaphutha ekubhalweni kwamaseli akho lapho ehlukana futhi enza amaseli amasha. Lawa maphutha abangela ukuba amaseli amasha akhule ngendlela ehlukile kunaleyo okufanele ayikhule. Ama-polyp aqunyiwe abangelwa ukuguqulwa kwezakhi zofuzo okuhlukile kunezinye izinhlobo zama-polyp.

Yiziphi izici eziyingozi zokuthuthukisa i-`(Serrated Polyps)`?

Izici eziyingozi zokuthuthukisa ama-polyp anezimbotshana zifana kakhulu nalezo zokuthuthukisa ama-polyp emathunjini amakhulu. Lezi yizi:

• Ukuba neminyaka engaphezu kwengu-50 ubudala.
• Ukubhema.
• Ukuphuza utshwala ngokweqile.
• Ukudla inyama ebomvu ngokweqile (njengenyama yenkomo, inyama yembuzi).
• Ukukhuluphala ngokweqile.
• Ukuba nezimo ezifana nesifo sokuvuvukala kwamathumbu.

Ungayibona kanjani i-`(Serrated Polyps)`?

Indlela engcono kakhulu yokuthola ama-polyp anezimbobo ngokusebenzisa i-colonoscopy . Kodwa-ke, ngezinye izikhathi, angaphuthelwa. Lokhu kungenxa yokuthi izinhlobo ezimbili ezivame kakhulu zama-polyp anezimbobo, ama-polyp anezimbobo kanye nama-lessile serrated lesion (ama-SSL), azibonakali kahle. Ngokuvamile zincane (cishe ama-5 mm) , ziyisicaba noma ziphakeme kancane, futhi zinombala ofanayo nezicubu ezizungezile, ezingenamingcele ecacile.

Cabanga ngakho njengokufuna ibala elincane, elingabonakali kahle odongeni elinombala ofanayo nopende. Akulula lokho, akunjalo?

Okusha,Ama-colonoscope, ane-resolution ephezulu kanye nokukhulisa, angcono ekutholeni ama-polyp ane-serrated kunezinsimbi ezindala. Ukulungiswa kwamathumbu kanye nokuqeqeshwa kukadokotela nakho kubalulekile. Odokotela kufanele baqaphele iziqondiso zakamuva zokuthola ama-polyp ane-serrated. Ezinye izindlela ze-colonoscopy zitholakale zisebenza kangcono kunezinye futhi zingashintsha ukubukeka kwama-polyp.

Ngesikhathi se-colonoscopy yakho, udokotela wakho angase asole ukuthi une-Sessile Serrated Lesion noma i-Serrated Polyp, okuwuhlobo lomdlavuza olungaba yi-polyp. Uma kukhona ukungabaza, uzoyisusa ngesikhathi senqubo (i-Polypectomy) . I-polyp izothunyelwa elabhorethri ukuze ihlolwe yi-Pathologist. Kulapho-ke udokotela ezokwazi khona ukunquma ukuthi hlobo luni lwe-polyp bese enza ukuxilongwa kokugcina.

Kodwa-ke, uma une-Serrated Polyposis Syndrome (SPS), udokotela wakho angase akwazi ukuyibona ngesikhathi sokuhlolwa kwe-colonoscopy. Indlela yokuthola i-SPS ukubheka inani lama-polyp ane-serrated atholakale, ubukhulu bawo, nokuthi atholakala kuphi ku-colon. Ngokwezibalo, ama-polyp ane-serrated amakhulu kunokuvamile noma ezindaweni ezingavamile ku-colon anamathuba amaningi okuba nomdlavuza uma ehlolwa ngokucophelela.

Kwenzekani uma `(Serrated Polyps)` kutholakala ngesikhathi `(Colonoscopy)`?

Ama-polyp e-hyperplastic avamile futhi akukho okufanele ukhathazeke ngawo. Kodwa-ke, uma udokotela wakho esola ukuthi une-polyp ene-serrated, kufanele asuswe . Lokhu kwenzelwa ukuthola ukuthi hlobo luni kanye nokuyekisa ukuba nomdlavuza. Uma kuqinisekiswa ukuthi ngempela yi-polyp engaphambi komdlavuza, udokotela wakho uzohlela i-colonoscopy yakho elandelayo maduze , ukuze uqiniseke ukuthi uthola noma yiziphi ezintsha ezihlolwe.

Kufanele ngenze i-colonoscopy ngokushesha kangakanani ngenxa ye-polyp enezimbotshana?

Odokotela bahlukanisa ingozi yokuba nomdlavuza we-colon njengephansi, ephakathi nendawo, noma ephezulu, kuye ngohlobo lwama-polyp aqinile abawatholayo. Leyo ngozi isetshenziselwa ukunquma ukuthi i-colonoscopy elandelayo kufanele yenziwe nini. Ngokweziqondiso zamanje,

• Uma kukhona ingozi ephakathi nendawo , kanye njalo eminyakeni emihlanu .
• Uma kukhona ingozi enkulu, njalo eminyakeni emithathu .
• Uma une-`(SPS)`, kunconywa ukuthi uhlolwe kanye ngonyaka .
• Ama-"Hyperplastic Polyps" anobungozi obuphansi awadingi ukubhekwa okukhethekile.

Yini ongayilindela uma une-"Serrated Polyps" engaphambi komdlavuza?

Uma udokotela wakho esuse ama-polyp afakwe i-serpent ngaphambi komdlavuza ngesikhathi se-colonoscopy yakho, uphephile okwamanje . Ukuwasusa kuzonciphisa ingozi yokuba nomdlavuza. Kodwa-ke, udokotela wakho uzofuna ukuqapha i-colon yakho ngezizathu eziningana. Esinye isizathu ukuthi la ma-polyp afakwe i-serpent angase abe nzima ukuwasusa ngokuphelele nge-polypectomy ngenxa yesimo sawo esiyisicaba kanye nemiphetho efiphele.

Cabanga ngakho njengokuthatha ucezu lwejeli oluwele phansi. Ngezinye izikhathi kusala izingcezu ezincane, akunjalo? Kunjalo-ke.

Uma kushiywa izingcezu ezincane zamaseli lapho zisuswa, noma uma kukhona ama-polyp aphuthelwe ngesikhathi sokuhlolwa kwe-colonoscopy kwangaphambilini futhi ayengabonakali kangako, angaqhubeka nokukhula abe yizimo ezingaphambi komdlavuza. Angase futhi akhule ngokushesha kune-polyp entsha. Ngaphezu kwalokho, ama-polyp anezimbotshana anamathuba amaningi okuba nomdlavuza kunezinye izinhlobo. Anamathuba amaningi okukhula abe umdlavuza ezindaweni ezingaphezu kweyodwa ngesikhathi esisodwa .

Kufanele ngimbone nini udokotela mayelana nama-polyp amathumbu?

Uma usengozini ejwayelekile, odokotela batusa ukuthi wenze i-colonoscopy njalo eminyakeni eyi-10, kusukela eneminyaka engu-45. Uma othile emndenini wakho eke waba nomdlavuza wamathumbu amakhulu noma ama-polyp (isixhumanisi sofuzo), noma uma unesifo sempilo esanda ingozi yokuba nama-polyp, njengesifo samathumbu esivuvukalayo, kungadingeka ukuthi wenze i-colonoscopy kusenesikhathi. Buza udokotela wakho ukuthi sekuyisikhathi sokuba ne-colonoscopy yakho evamile.

Njengama-polyp amaningi amathumbu amakhulu, ama-polyp anezimbobo avamile futhi avame ukuba yingozi . Amanye awo anengozi encane yokuba yingozi ngokuhamba kwesikhathi. Yingakho sine-colonoscopies. Uma nje siwahlola futhi siwasusa uma etholakala, ama-polyp anezimbobo awanalo ithuba lokuba nomdlavuza. Sisafunda ngama-polyp anezimbobo nokuthi aziphatha kanjani, kodwa manje sesikwazi okwanele ukunikeza ukwelashwa kokuvimbela .

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ake sibheke ezinye zezinto ezibaluleke kakhulu okufanele sizikhumbule kulokho esikhulume ngakho:

• Ama-polyp aqunyiwe awuhlobo lokukhula okunenyama okwakheka emathunjini amakhulu futhi abukeka njengemiphetho yesaha.
• Ezinye izinhlobo zama-polyp anezimbotshana, ikakhulukazi izilonda ezinezimbotshana ezinezimbotshana ezinezimbotshana (ama-SSL), zingaba umdlavuza ngokuhamba kwesikhathi.
• Esikhathini esiningi, lokhu akubonakaliswa izimpawu , ngakho-ke kubaluleke kakhulu ukuba nokuhlolwa kwe-colonoscopy njalo.
• Ngokubona nokususa lokhu ngesikhathi se-colonoscopy, umdlavuza ungavinjelwa .
• Uma kutholakale ukuthi une-`(Serrated Polyps),` landela imiyalelo kadokotela wakho ngqo. Kubalulekile ukuya kokuhlolwa kokulandelela ngezikhathi ezithile.
• Ungesabi , into ebaluleke kakhulu ukuzazi lezi zinto bese uzikhomba kusenesikhathi.

Uma uneminye imibuzo mayelana nalokhu, ungangabazi ukukhuluma nodokotela wakho. Angakweluleka ngendlela efanele kakhulu.

Ama- Polyps Ahlanganisiwe, Ama-Polyps Angaphakathi Kwamathumbu, I-Colonoscopy, Umdlavuza Wamathumbu Amancane, Ama-Polyps Angenaplastiki, Izilonda Ezihlanganisiwe Ezihlanganisiwe, I-Gastroenterology